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General NPI Number Information
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NPI Number | 1861929002
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Entity Type | Individual
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Provider Name | JODI SCOTT RPH
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Gender | Female
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 05/18/2017
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Provider Practice Location Address
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Address Line | 4111 EXECUTIVE PKWY
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City | WESTERVILLE
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State | OH
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Zip | 43081-3869
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Country | US
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Telephone | 614-898-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 5191 N STATE ROUTE 53
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City | TIFFIN
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State | OH
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Zip | 44883-8705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03223696
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License Number State | OH
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